Organization · Type 2 NPI

Aqua Blue Pediatrics PLLC

Pediatrics Physician · Ormond Beach, FL

NPI number 1619829900 Active

Practice location

785 W Granada Blvd Ste 4
Ormond Beach, FL 32174-5163

Mailing address

7901 4th St N # 30729
St. Petersburg, FL 33702-4305

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000XNone listed

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1619829900

Aqua Blue Pediatrics PLLC's National Provider Identifier is 1619829900, issued on Feb 10, 2026. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Ormond Beach, FL. The record was last updated on Feb 10, 2026.